Unilateral Segmental Hyperhidrosis Associated With Pulmonary Adenocarcinoma

Slabbynck, Hans; Bedert, Lieven; Deyn, Peter Paul De; Galdermans, D.; Coolen, D.

doi:10.1378/chest.114.4.1215

Cited by 14 publications

(15 citation statements)

References 11 publications

(1 reference statement)

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“…Causes of secondary HH disclosed in this study and reported in the medical literature were reviewed, subdivided by distribution pattern (Table IV). [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] Commonly cited conditions contributing to secondary HH include diabetes mellitus, Parkinson's disease, hyperthyroidism, hyperpituitarism, anxiety disorder, pheochromocytoma, and menopause. [24][25][26][27] Several of these diseases were observed in the present study.…”

Section: Discussionmentioning

confidence: 99%

Clinical differentiation of primary from secondary hyperhidrosis

Walling

2011

Journal of the American Academy of Dermatology

102

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Section: Discussionmentioning

confidence: 99%

Clinical differentiation of primary from secondary hyperhidrosis

Walling

2011

Journal of the American Academy of Dermatology

102

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“…The face and eyelids are supplied by spinal segments T1–4, the upper limbs, by spinal segments T2–8 and the trunk, by spinal segments T4–12 3. The present case showed that the tumour expanded vertically in T1–4, which is considered to be the source of hypohydrosis on the left side of the face, left arm and left upper thorax via interruption of sympathetic pathways at this level (figure 4).…”

Section: Discussionmentioning

confidence: 48%

“…There are few reports evaluating Horner's syndrome from the view of perspiration using the iodine–starch method 7–9 3. More importantly, these reports noted hypohydrosis/anhydrosis on the tumour-affected sympathetic nerve side and hyperhydrosis on the contralateral side,7 8 but hyperhydrosis on the tumour-affected side may occur via autonomic nerve stimulation by the tumour,9 3 which is known as ‘Reverse Horner Syndrome’ 10.…”

Section: Discussionmentioning

confidence: 99%

“…More importantly, these reports noted hypohydrosis/anhydrosis on the tumour-affected sympathetic nerve side and hyperhydrosis on the contralateral side,7 8 but hyperhydrosis on the tumour-affected side may occur via autonomic nerve stimulation by the tumour,9 3 which is known as ‘Reverse Horner Syndrome’ 10. Although the mechanisms of hyperhydrosis (flushing or sweating) in Horner's syndrome on the tumour-affected side or the contralateral side are unknown, the present findings suggest that they are caused by irritation of sympathetic pathways via tumour invasion or localised overproduction of sweat on normal skin to compensate for an area of hypohydrosis 11.…”

Section: Discussionmentioning

confidence: 99%

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Evidence for hypohydrosis as clinical clue to diagnosis of Horner's syndrome

et al. 2013

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SUMMARYA 59-year-old man presented with hypohydrosis in his left upper extremity and left hand, and experienced difficulty in gripping the steering wheel while driving. One year prior to admission, he had felt pain and/or paresthesias in his left anterior chest, left shoulder area and left periaxillar area, which corresponded to involvement of dermatomes in T1-T3. He was diagnosed with Horner's syndrome caused by lung tumour, which was located at the apical posterior wall along with the second to fourth ribs. The tumour interrupted sympathetic neurons at the T1-T4 level. The degree of hypohydrosis was successfully evaluated by the starchiodine technique, dermal thermography and a skin surface hygrometer. After radiation therapy, hypohydrosis and pain or paresthesias improved partially, and he was discharged uneventfully. BACKGROUND

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“…There are, however, a few reported cases of unilateral anhidrosis (or hyperhidrosis) of the praecordium or below, which were subsequently associated with an underlying neoplastic process related to lung or intraabdominal pathology. [2][3][4][5] Learning points ▸ The most common primary cardiac tumour is an atrial myxoma, which is usually benign. Early symptoms of atrial myxoma are non-specific and may therefore prove to be a diagnostic challenge.…”

Section: Discussionmentioning

confidence: 99%

Unilateral anhidrosis: a rare presentation of atrial myxoma?

Gould

2012

BMJ Case Reports

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A 50-year-old Chinese woman, non-smoker, presented with a 6-month history of increased sweating on the right side of her face, exertional chest tightness and breathlessness. Although the patient presented with increased sweating on the right, further history and examination revealed unilateral, left-sided anhidrosis, left partial ptosis and miosis consistent with Horner's syndrome. The patient was subsequently investigated with thoracic CT to assess for an apical lung mass (Pancoast tumour). A CT chest ruled out a mediastinal tumour, however, it revealed a large 60×41 mm soft tissue mass arising from the left atrium, protruding across the mitral valve into the left ventricle, suspicious of an intracardiac tumour. The patient was referred urgently for cardiothoracic assessment at a tertiary referral centre and successful open resection was performed. Histology confirmed an atrial myxoma. The patient developed postoperative atrial fibrillation but otherwise made a full recovery.

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Unilateral Segmental Hyperhidrosis Associated With Pulmonary Adenocarcinoma

Cited by 14 publications

References 11 publications

Clinical differentiation of primary from secondary hyperhidrosis

Clinical differentiation of primary from secondary hyperhidrosis

Evidence for hypohydrosis as clinical clue to diagnosis of Horner's syndrome

Unilateral anhidrosis: a rare presentation of atrial myxoma?

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